Individual
MRS. THERESA BUCKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNM
Contact information
Practice address
1265 VISCAYA PKWY, CAPE CORAL, FL 33990-3237
(239) 574-2229
(239) 574-2762
Mailing address
12730 NEW BRITTANY BLVD STE 602, FORT MYERS, FL 33907-4690
(239) 275-5522
(239) 275-4464
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
APRN3194502
FL
367A00000X
Advanced Practice Midwife
Primary
APRN3194502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001180900
—
FL
01
—
Y02ET
BCBSFL
FL
Enumeration date
07/27/2006
Last updated
11/21/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us